Active NPI
Mark A Davis
- Social Worker
- Tulsa, OK
National Provider Identifier
1457522310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1870 S Boulder Ave
Tulsa, OK 74119-5234 - Phone
- (918) 585-1213
- Fax
- (918) 585-1263
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1870 S Boulder Ave
Tulsa, OK 74119-5234
Mailing address
1870 S Boulder Ave
Tulsa, OK 74119-5234
Phone (918) 585-1213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4MAD74 | Other | OK | ICIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Association in Tulsa, Inc. | Past | Accepting new patients | |
| Mental Health Association of Tulsa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Tulsa, OK
- NPI 1821127325
-
- Case Management Agency
- Tulsa, OK
- NPI 1528453479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1457522310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 S BOULDER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741195234",
"telephone_number": "918-585-1213",
"fax_number": "918-585-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 S BOULDER AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741195234",
"telephone_number": "918-585-1213",
"fax_number": "918-585-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARK",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICIS",
"identifier": "4MAD74",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.